Hospital

MAYO CLINIC HEALTH SYSTEM CHIPPEWA VALLEY

Bloomer, WI · CCN 521314 · Rates published

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You selected 59510 (CPT)

HC ROUTINE C/S ANTE/POSTPRTUM PKG

This hospital’s price: $7,945 across 144 payers · range $7,863-$8,109

Source: https://mcorgstatic.blob.core.windows.net/cms-price/390813418_mayo-clinic-health-system-chippewa-valley_standardcharges.csv · observed 2026-03-31

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

5,827 distinct procedures filed

285 distinct payers

6,877,461 rate rows

2026-03-31 last MRF observed

Data quality

3,202,574 of 6,877,461 rate rows are consumer-grade (46.6%)

3,674,887 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
professional (physician) fee — not the facility price	3,673,808
per-diem day rate — not a per-procedure price	875
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	112
placeholder amount (≤ $0.02) — excluded from medians	43
exceeds 10× this hospital's gross charge — excluded from medians	38
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	11

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://mcorgstatic.blob.core.windows.net/cms-price/390813418_mayo-clinic-health-system-chippewa-valley_standardcharges.csv
Found on page	https://www.mayoclinichealthsystem.org/for-patients-and-visitors/price-transparency
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-09-20
Content fingerprint	d939f6e4182979be… · 3,563,041,962 bytes · first seen 2026-05-04

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code	Description	Payers	Min $	Max $	Avg median	vs national
J0225 HCPCS	Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe	262	$43,692.06	$207,957.42	$201,655.68	nat. median $6,067 outlier · 33.2×
A9607 HCPCS	Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln	262	$33,592.00	$159,885.00	$155,040.00	nat. median $396 outlier · 391.6×
33276 CPT	Hc Insn Phrnc Nrv Stim Sys	263	$519.01	$93,731.22	$90,890.88	nat. median $44,163 outlier · 2.1×
J9359 HCPCS	Loncastuximab Tesirine-lpyl 10 Mg/2 Ml Intravenous Solution (wetted)	262	$17,000.55	$80,916.07	$77,646.73	nat. median $292 outlier · 265.6×
J2507 HCPCS	Pegloticase 8 Mg/ml Intravenous Solution	263	$16,527.39	$78,664.01	$76,280.26	nat. median $4,390 outlier · 17.4×
RX-219415 CDM	Belantamab Mafodotin-blmf 70 Mg Intravenous Solution	262	$13,994.32	$66,607.60	$64,589.18	—
RX-707820 CDM	Belantamab Mafodotin-blmf 70 Mg/1.4 Ml Intravenous Solution (wetted)	262	$13,994.32	$66,607.60	$64,589.18	—
0823T CPT	Hc Tcat Ins 1chmbr Ldls Pm Ra	262	$12,002.22	$57,125.97	$55,394.88	nat. median $20,485 outlier · 2.7×
J0638 HCPCS	Canakinumab (pf) 150 Mg/ml Subcutaneous Solution	263	$11,683.46	$55,608.80	$53,923.68	nat. median $235 outlier · 229.6×
J2350 HCPCS	Ocrelizumab 30 Mg/ml Intravenous Solution	263	$11,205.44	$53,333.58	$51,717.41	nat. median $133 outlier · 389.0×
33231 CPT	Hc Ins Pulse Gen W Exst Mult Lead	263	$364.93	$52,521.48	$50,929.92	nat. median $31,377 1.6× median
93580 CPT	Hc Tx Cath Clsr Asd W Imp	263	$856.77	$45,350.91	$43,976.64	nat. median $18,748 outlier · 2.3×
J9298 HCPCS	Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution	262	$9,204.62	$43,810.47	$42,482.88	nat. median $446 outlier · 95.2×
33249 CPT	Hc Ins/rplc Dfib W Transven Lead	263	$816.94	$43,270.92	$41,959.68	nat. median $32,069 1.3× median
33264 CPT	Hc Rmvl&rplc Icd Gen Multi Lead	263	$365.07	$43,257.06	$41,946.24	nat. median $32,779 1.3× median
33270 CPT	Hc Ins/rplc Subq Icd W Subq Elec	263	$505.52	$42,389.82	$41,105.28	nat. median $32,475 1.3× median
C2616 HCPCS	Yttrium-90 Microspheres 3-20 Gbq/0.6 Ml For Intravenous Solution	262	$8,629.40	$42,441.30	$40,242.88	nat. median $22,121 1.8× median
J9043 HCPCS	Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution	263	$8,619.29	$41,024.51	$39,781.34	nat. median $509 outlier · 78.1×
0796T CPT	Hc Tcat Ins 2chmbr Ldls Pm Ra	262	$8,345.79	$39,722.76	$38,519.04	nat. median $20,278 1.9× median
92930 CPT	Hc Perq Tcat Plmt Ntrac St 2+les 2+st 2+c Segments	263	$482.29	$37,579.41	$36,061.05	nat. median $19,336 1.9× median
J9042 HCPCS	Brentuximab Vedotin 50 Mg/10 Ml Intravenous Solution (wetted)	263	$7,721.73	$36,752.46	$35,638.75	nat. median $555 outlier · 64.2×
93656 CPT	Hc Ep Eval Tx Art Fib Pulm Vein	263	$817.79	$36,642.87	$35,532.48	nat. median $26,469 1.3× median
33263 CPT	Hc Rmvl&rplc Icd Gen Dual Lead	263	$351.79	$36,588.42	$35,479.68	nat. median $23,924 1.5× median
33262 CPT	Hc Rmvl&rplc Icd Gen Sngl Lead	263	$338.76	$36,588.42	$35,479.68	nat. median $23,514 1.5× median
J1628 HCPCS	Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution	262	$7,617.52	$36,256.47	$35,157.79	nat. median $127 outlier · 276.8×
0795T CPT	Hc Tcat Ins 2chmbr Ldls Pm Cmpl	262	$7,388.78	$35,167.77	$34,102.08	nat. median $19,928 1.7× median
J9281 HCPCS	Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit	263	$7,222.18	$34,374.78	$33,333.12	nat. median $403 outlier · 82.8×
J9272 HCPCS	Dostarlimab-gxly 50 Mg/ml Intravenous Solution	262	$7,200.86	$34,273.31	$33,234.72	nat. median $567 outlier · 58.6×
J9382 HCPCS	Zenocutuzumab-zbco 375 Mg/18.75 Ml (20 Mg/ml) Intravenous Solution	262	$7,164.89	$34,102.13	$32,724.27	nat. median $37 outlier · 878.5×
J9022 HCPCS	Atezolizumab 60 Mg/ml Intravenous Solution (wrapper)	263	$7,007.52	$33,353.10	$32,342.40	nat. median $1,229 outlier · 26.3×
J9024 HCPCS	Atezolizumab 1,875 Mg-hyaluronidase-tqjs 30,000 Unit/15 Ml Subcut Soln	262	$7,007.50	$33,353.00	$32,342.30	nat. median $47 outlier · 694.8×
93654 CPT	Hc Ep Eval W Vent Tachy Ablate	263	$869.46	$32,998.68	$31,998.72	nat. median $26,477 1.2× median
37294 CPT	Hc Rvsc Evsc Tpvt St Athr Cpx 1	263	$834.67	$32,246.28	$31,269.12	nat. median $19,143 1.6× median
33229 CPT	Hc Rplc Perm Gen Mult Lead	263	$339.10	$32,231.43	$31,254.72	nat. median $19,415 1.6× median
C9607 HCPCS	Hc Perc Translum Revasc Cor Sngl	262	$6,689.28	$31,838.40	$30,873.60	nat. median $19,925 1.5× median
J9119 HCPCS	Cemiplimab-rwlc 50 Mg/ml Intravenous Solution	263	$6,658.60	$31,692.38	$30,732.00	nat. median $53 outlier · 577.1×
C9606 HCPCS	Hc Perc Translum Revasc Ami Sngl	262	$519.20	$31,838.40	$30,552.00	nat. median $17,051 1.8× median
J9144 HCPCS	Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln	263	$6,570.01	$31,270.73	$30,323.14	nat. median $114 outlier · 264.9×
93653 CPT	Hc Ep Eval W Supravent Ablate	263	$721.26	$31,027.59	$30,087.36	nat. median $25,502 1.2× median
C9602 HCPCS	Hc Perc Translum Ather Wangio Sng	262	$6,342.96	$30,190.05	$29,275.20	nat. median $19,918 1.5× median
33274 CPT	Hc Rplc/insrt Transcath Leadls Pm	263	$430.26	$29,462.40	$28,569.60	nat. median $20,959 1.4× median
J3245 HCPCS	Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe	263	$6,127.49	$29,164.51	$28,280.74	nat. median $217 outlier · 130.4×
C9766 HCPCS	Hc Revasc Intra Lithotrip-ather	262	$5,966.90	$28,400.13	$27,539.52	nat. median $18,864 1.5× median
J3263 HCPCS	Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution	262	$5,744.98	$27,343.90	$26,239.10	nat. median $51 outlier · 513.3×
J9228 HCPCS	Ipilimumab 5 Mg/ml Intravenous Solution (wrapper)	263	$5,442.96	$102,289.08	$25,383.06	nat. median $6,073 outlier · 4.2×
J9316 HCPCS	Pertuzumab 600 Mg-trastuzumab 600 Mg-hyaluronid-zzxf/10 Ml Subcut Soln	263	$5,428.05	$25,835.44	$25,052.54	nat. median $221 outlier · 113.5×
J2327 HCPCS	Risankizumab-rzaa 360 Mg/2.4 Ml (150 Mg/ml) Subcut Wearable Injector	262	$5,340.46	$58,441.64	$24,905.04	nat. median $48 outlier · 519.1×
J3380 HCPCS	Vedolizumab 300 Mg Intravenous Solution	263	$5,316.02	$25,302.22	$24,535.49	nat. median $59 outlier · 417.2×
J2427 HCPCS	Paliperidone Palmitate (3-month) 273 Mg/0.88 Ml Intramuscular Syringe	262	$1,814.51	$49,715.82	$24,308.74	nat. median $17 outlier · 1468.8×
0483T CPT	Hc Tmvi Percutaneous Approach	263	$1,468.86	$25,054.92	$24,295.68	nat. median $2,430 outlier · 10.0×

Other procedures at this hospital

Browse this hospital's 5,827 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

J0225	HCPCS	Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe	417	262	$210,058.00	$189,052.20	$43,692.06	$207,957.42	$201,655.68	2026-03-31
A9607	HCPCS	Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln	421	262	$161,500.00	$145,350.00	$33,592.00	$159,885.00	$155,040.00	2026-03-31
33276	CPT	Hc Insn Phrnc Nrv Stim Sys	423	263	$94,678.00	$85,210.20	$519.01	$93,731.22	$90,890.88	2026-03-31
J9359	HCPCS	Loncastuximab Tesirine-lpyl 10 Mg/2 Ml Intravenous Solution (wetted)	409	262	$81,733.40	$73,560.06	$17,000.55	$80,916.07	$77,646.73	2026-03-31
J2507	HCPCS	Pegloticase 8 Mg/ml Intravenous Solution	419	263	$79,458.60	$71,512.74	$16,527.39	$78,664.01	$76,280.26	2026-03-31
RX-707820	CDM	Belantamab Mafodotin-blmf 70 Mg/1.4 Ml Intravenous Solution (wetted)	421	262	$67,280.40	$60,552.36	$13,994.32	$66,607.60	$64,589.18	2026-03-31
RX-219415	CDM	Belantamab Mafodotin-blmf 70 Mg Intravenous Solution	421	262	$67,280.40	$60,552.36	$13,994.32	$66,607.60	$64,589.18	2026-03-31
0823T	CPT	Hc Tcat Ins 1chmbr Ldls Pm Ra	421	262	$57,703.00	$51,932.70	$12,002.22	$57,125.97	$55,394.88	2026-03-31
J0638	HCPCS	Canakinumab (pf) 150 Mg/ml Subcutaneous Solution	419	263	$56,170.50	$50,553.45	$11,683.46	$55,608.80	$53,923.68	2026-03-31
J2350	HCPCS	Ocrelizumab 30 Mg/ml Intravenous Solution	419	263	$53,872.30	$48,485.07	$11,205.44	$53,333.58	$51,717.41	2026-03-31
33231	CPT	Hc Ins Pulse Gen W Exst Mult Lead	423	263	$53,052.00	$47,746.80	$364.93	$52,521.48	$50,929.92	2026-03-31
93580	CPT	Hc Tx Cath Clsr Asd W Imp	423	263	$45,809.00	$41,228.10	$856.77	$45,350.91	$43,976.64	2026-03-31
J9298	HCPCS	Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution	417	262	$44,253.00	$39,827.70	$9,204.62	$43,810.47	$42,482.88	2026-03-31
33249	CPT	Hc Ins/rplc Dfib W Transven Lead	423	263	$43,708.00	$39,337.20	$816.94	$43,270.92	$41,959.68	2026-03-31
33264	CPT	Hc Rmvl&rplc Icd Gen Multi Lead	423	263	$43,694.00	$39,324.60	$365.07	$43,257.06	$41,946.24	2026-03-31
33270	CPT	Hc Ins/rplc Subq Icd W Subq Elec	423	263	$42,818.00	$38,536.20	$505.52	$42,389.82	$41,105.28	2026-03-31
C2616	HCPCS	Yttrium-90 Microspheres 3-20 Gbq/0.6 Ml For Intravenous Solution	842	262	$42,178.75	$37,960.88	$8,629.40	$42,441.30	$40,242.88	2026-03-31
J9043	HCPCS	Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution	419	263	$41,438.90	$37,295.01	$8,619.29	$41,024.51	$39,781.34	2026-03-31
0796T	CPT	Hc Tcat Ins 2chmbr Ldls Pm Ra	421	262	$40,124.00	$36,111.60	$8,345.79	$39,722.76	$38,519.04	2026-03-31
92930	CPT	Hc Perq Tcat Plmt Ntrac St 2+les 2+st 2+c Segments	414	263	$37,959.00	$34,163.10	$482.29	$37,579.41	$36,061.05	2026-03-31
J9042	HCPCS	Brentuximab Vedotin 50 Mg/10 Ml Intravenous Solution (wetted)	419	263	$37,123.70	$33,411.33	$7,721.73	$36,752.46	$35,638.75	2026-03-31
93656	CPT	Hc Ep Eval Tx Art Fib Pulm Vein	423	263	$37,013.00	$33,311.70	$817.79	$36,642.87	$35,532.48	2026-03-31
33262	CPT	Hc Rmvl&rplc Icd Gen Sngl Lead	423	263	$36,958.00	$33,262.20	$338.76	$36,588.42	$35,479.68	2026-03-31
33263	CPT	Hc Rmvl&rplc Icd Gen Dual Lead	423	263	$36,958.00	$33,262.20	$351.79	$36,588.42	$35,479.68	2026-03-31
J1628	HCPCS	Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution	417	262	$36,622.70	$32,960.43	$7,617.52	$36,256.47	$35,157.79	2026-03-31
0795T	CPT	Hc Tcat Ins 2chmbr Ldls Pm Cmpl	421	262	$35,523.00	$31,970.70	$7,388.78	$35,167.77	$34,102.08	2026-03-31
J9281	HCPCS	Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit	419	263	$34,722.00	$31,249.80	$7,222.18	$34,374.78	$33,333.12	2026-03-31
J9272	HCPCS	Dostarlimab-gxly 50 Mg/ml Intravenous Solution	417	262	$34,619.50	$31,157.55	$7,200.86	$34,273.31	$33,234.72	2026-03-31
J9382	HCPCS	Zenocutuzumab-zbco 375 Mg/18.75 Ml (20 Mg/ml) Intravenous Solution	409	262	$34,446.60	$31,001.94	$7,164.89	$34,102.13	$32,724.27	2026-03-31
J9022	HCPCS	Atezolizumab 60 Mg/ml Intravenous Solution (wrapper)	419	263	$33,690.00	$30,321.00	$7,007.52	$33,353.10	$32,342.40	2026-03-31
J9024	HCPCS	Atezolizumab 1,875 Mg-hyaluronidase-tqjs 30,000 Unit/15 Ml Subcut Soln	417	262	$33,689.90	$30,320.91	$7,007.50	$33,353.00	$32,342.30	2026-03-31
93654	CPT	Hc Ep Eval W Vent Tachy Ablate	423	263	$33,332.00	$29,998.80	$869.46	$32,998.68	$31,998.72	2026-03-31
37294	CPT	Hc Rvsc Evsc Tpvt St Athr Cpx 1	423	263	$32,572.00	$29,314.80	$834.67	$32,246.28	$31,269.12	2026-03-31
33229	CPT	Hc Rplc Perm Gen Mult Lead	423	263	$32,557.00	$29,301.30	$339.10	$32,231.43	$31,254.72	2026-03-31
C9607	HCPCS	Hc Perc Translum Revasc Cor Sngl	421	262	$32,160.00	$28,944.00	$6,689.28	$31,838.40	$30,873.60	2026-03-31
J9119	HCPCS	Cemiplimab-rwlc 50 Mg/ml Intravenous Solution	419	263	$32,012.50	$28,811.25	$6,658.60	$31,692.38	$30,732.00	2026-03-31
C9606	HCPCS	Hc Perc Translum Revasc Ami Sngl	412	262	$32,160.00	$28,944.00	$519.20	$31,838.40	$30,552.00	2026-03-31
J9144	HCPCS	Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln	419	263	$31,586.60	$28,427.94	$6,570.01	$31,270.73	$30,323.14	2026-03-31
93653	CPT	Hc Ep Eval W Supravent Ablate	423	263	$31,341.00	$28,206.90	$721.26	$31,027.59	$30,087.36	2026-03-31
C9602	HCPCS	Hc Perc Translum Ather Wangio Sng	421	262	$30,495.00	$27,445.50	$6,342.96	$30,190.05	$29,275.20	2026-03-31
33274	CPT	Hc Rplc/insrt Transcath Leadls Pm	423	263	$29,760.00	$26,784.00	$430.26	$29,462.40	$28,569.60	2026-03-31
J3245	HCPCS	Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe	419	263	$29,459.10	$26,513.19	$6,127.49	$29,164.51	$28,280.74	2026-03-31
C9766	HCPCS	Hc Revasc Intra Lithotrip-ather	421	262	$28,687.00	$25,818.30	$5,966.90	$28,400.13	$27,539.52	2026-03-31
J3263	HCPCS	Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution	409	262	$27,620.10	$24,858.09	$5,744.98	$27,343.90	$26,239.10	2026-03-31
J9228	HCPCS	Ipilimumab 5 Mg/ml Intravenous Solution (wrapper)	838	263	$64,745.20	$58,270.68	$5,442.96	$102,289.08	$25,383.06	2026-03-31
J9316	HCPCS	Pertuzumab 600 Mg-trastuzumab 600 Mg-hyaluronid-zzxf/10 Ml Subcut Soln	419	263	$26,096.40	$23,486.76	$5,428.05	$25,835.44	$25,052.54	2026-03-31
J2327	HCPCS	Risankizumab-rzaa 360 Mg/2.4 Ml (150 Mg/ml) Subcut Wearable Injector	834	262	$40,667.00	$36,600.30	$5,340.46	$58,441.64	$24,905.04	2026-03-31
J3380	HCPCS	Vedolizumab 300 Mg Intravenous Solution	419	263	$25,557.80	$23,002.02	$5,316.02	$25,302.22	$24,535.49	2026-03-31
J2427	HCPCS	Paliperidone Palmitate (3-month) 273 Mg/0.88 Ml Intramuscular Syringe	2,085	262	$25,321.60	$22,789.44	$1,814.51	$49,715.82	$24,308.74	2026-03-31
0483T	CPT	Hc Tmvi Percutaneous Approach	423	263	$25,308.00	$22,777.20	$1,468.86	$25,054.92	$24,295.68	2026-03-31
J1930	HCPCS	Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe	419	263	$25,148.30	$22,633.47	$4,883.54	$24,896.82	$24,142.37	2026-03-31
92941	CPT	Hc Perc Revasc Trans Mi Sngl Vesl	423	263	$24,983.00	$22,484.70	$597.08	$24,733.17	$23,983.68	2026-03-31
37288	CPT	Hc Revsc Evsc Tpvt Athrc Sf 1st	423	263	$24,658.00	$22,192.20	$622.43	$24,411.42	$23,671.68	2026-03-31
J9301	HCPCS	Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution	419	263	$24,133.80	$21,720.42	$5,019.83	$23,892.46	$23,168.45	2026-03-31
J9223	HCPCS	Lurbinectedin 4 Mg/8 Ml Intravenous Solution (wetted)	419	263	$23,868.50	$21,481.65	$4,964.65	$23,629.82	$22,913.76	2026-03-31
92945	CPT	Hc Perq Trluml Revsc Chrnc Tot Occls 1 Antgrd&rtrgr	414	263	$23,904.00	$21,513.60	$603.00	$23,664.96	$22,708.80	2026-03-31
37282	CPT	Hc Rvsc Evsc Tpvt Angio Cplx 1	423	263	$23,121.00	$20,808.90	$566.03	$22,889.79	$22,196.16	2026-03-31
J9299	HCPCS	Nivolumab 10 Mg/ml Intravenous Solution (wrapper)	419	263	$23,010.70	$20,709.63	$4,786.23	$22,780.59	$22,090.27	2026-03-31
J9289	HCPCS	Nivolumab 600 Mg-hyaluronidase-nvhy 10,000 Unit/5 Ml Subcut Solution	409	262	$23,010.70	$20,709.63	$4,786.23	$22,780.59	$21,860.17	2026-03-31
33214	CPT	Hc Upgrade Impl Pcmkr Sys	423	263	$22,677.00	$20,409.30	$438.05	$22,450.23	$21,769.92	2026-03-31
J2323	HCPCS	Natalizumab 300 Mg/15 Ml Intravenous Solution	419	263	$22,623.10	$20,360.79	$4,705.60	$22,396.87	$21,718.18	2026-03-31
37243	CPT	Hc Vasc Embl/occlude Tmr Infarct	423	263	$22,553.00	$20,297.70	$517.37	$22,327.47	$21,650.88	2026-03-31
C9608	HCPCS	Hc Perc Trnslum Revasc Cor Ea Add	421	262	$22,443.00	$20,198.70	$4,668.14	$22,218.57	$21,545.28	2026-03-31
33340	CPT	Hc Perc Txcath Clsr Lt Atr Apndg	423	263	$22,199.00	$19,979.10	$638.94	$21,977.01	$21,311.04	2026-03-31
92924	CPT	Hc Ptca W Cor Angio Sngl Mjr	423	263	$22,076.00	$19,868.40	$475.27	$21,855.24	$21,192.96	2026-03-31
36906	CPT	Hc Av Fistula Stent Thrombectomy	423	263	$21,954.00	$19,758.60	$469.45	$21,734.46	$21,075.84	2026-03-31
27412	CPT	Hc Impl Knee Auto Chondrocyte	413	262	$22,156.00	$19,940.40	$1,354.37	$21,934.44	$21,048.20	2026-03-31
J1323	HCPCS	Elranatamab-bcmm 40 Mg/ml Subcutaneous Solution	834	262	$29,051.30	$26,146.17	$4,431.27	$36,430.42	$20,665.07	2026-03-31
C9600	HCPCS	Hc Perc Transcath Plct Drug Stnt Sng	421	262	$21,177.00	$19,059.30	$4,404.82	$20,965.23	$20,329.92	2026-03-31
C9604	HCPCS	Hc Perc Translum Revasc Sngl Vssl	421	262	$21,177.00	$19,059.30	$4,404.82	$20,965.23	$20,329.92	2026-03-31
J9273	HCPCS	Tisotumab Vedotin-tftv 40 Mg/4 Ml Intravenous Solution (wetted)	417	262	$21,058.30	$18,952.47	$4,380.13	$20,847.72	$20,215.97	2026-03-31
36903	CPT	Hc Av Fistula Stent	423	263	$20,966.00	$18,869.40	$290.12	$20,756.34	$20,127.36	2026-03-31
37258	CPT	Hc Revsc Evasc Ivt Stent Sf 1st	423	263	$20,526.00	$18,473.40	$403.88	$20,320.74	$19,704.96	2026-03-31
0238T	CPT	Hc Tlpa Iliac Arty Ea Vssl	412	262	$20,706.00	$18,635.40	$4,306.85	$20,498.94	$19,670.70	2026-03-31
J3101	HCPCS	Tenecteplase 50 Mg Intravenous Solution	439	263	$20,226.50	$18,203.85	$4,207.11	$20,024.24	$19,417.44	2026-03-31
37298	CPT	Hc Revsc Evsc Imvt Angio Cplx 1	423	263	$20,038.00	$18,034.20	$627.45	$19,837.62	$19,236.48	2026-03-31
33362	CPT	Hc Rplc Aortic Vlv Open Fem Arty	423	263	$19,902.00	$17,911.80	$1,189.20	$19,702.98	$19,105.92	2026-03-31
J9331	HCPCS	Sirolimus-protein Bound 100 Mg Intravenous Suspension	409	262	$20,018.00	$18,016.20	$4,163.74	$19,817.82	$19,017.10	2026-03-31
J9306	HCPCS	Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution	419	263	$19,632.30	$17,669.07	$4,083.52	$19,435.98	$18,847.01	2026-03-31
J9063	HCPCS	Mirvetuximab Soravtansine-gynx 5 Mg/ml Intravenous Solution	417	262	$19,572.30	$17,615.07	$4,071.04	$19,376.58	$18,789.41	2026-03-31
92943	CPT	Hc Perc Revasc Trans Chr Sngl Vesl	423	263	$19,555.00	$17,599.50	$642.06	$19,359.45	$18,772.80	2026-03-31
37241	CPT	Hc Vasc Embl/occlude Venous	423	263	$19,358.00	$17,422.20	$390.87	$19,164.42	$18,583.68	2026-03-31
33206	CPT	Hc Ins/rplc Pcmkr Atrial	423	263	$19,321.00	$17,388.90	$413.57	$19,127.79	$18,548.16	2026-03-31
J9354	HCPCS	Ado-trastuzumab Emtansine 160 Mg/8 Ml Mg Intravenous Solution (wetted)	419	263	$18,936.30	$17,042.67	$3,938.75	$18,746.94	$18,178.85	2026-03-31
33213	CPT	Hc Ins Pcmkr Pls Gen Exist 2 Lead	423	263	$18,904.00	$17,013.60	$312.34	$18,714.96	$18,147.84	2026-03-31
J0775	HCPCS	Collagenase Clostridium Histolyticum 0.9 Mg Solution For Injection	419	263	$18,888.10	$16,999.29	$3,928.72	$18,699.22	$18,132.58	2026-03-31
37244	CPT	Hc Vasc Embl/occlude Hemorrhage	423	263	$18,794.00	$16,914.60	$607.15	$18,606.06	$18,042.24	2026-03-31
33208	CPT	Hc Ins/rplc Pcmkr Atrial & Vent	423	263	$18,772.00	$16,894.80	$467.02	$18,584.28	$18,021.12	2026-03-31
33228	CPT	Hc Rplc Perm Gen Dual Lead	423	263	$18,772.00	$16,894.80	$324.09	$18,584.28	$18,021.12	2026-03-31
27487	CPT	Hc Rev Tot Knee Arthro Fem&tib	413	262	$18,631.00	$16,767.90	$1,423.89	$18,444.69	$17,699.45	2026-03-31
37280	CPT	Hc Revsc Evsc Tpvt Angio Sf 1st	423	263	$18,431.00	$16,587.90	$451.23	$18,246.69	$17,693.76	2026-03-31
37242	CPT	Hc Vasc Embl/occlude Arterial	423	263	$18,429.00	$16,586.10	$434.03	$18,244.71	$17,691.84	2026-03-31
36224	CPT	Hc Sel Cath Intrnl Cartd Artery	423	263	$18,425.00	$16,582.50	$326.66	$18,240.75	$17,688.00	2026-03-31
33361	CPT	Hc Rplc Aortic Vlv Perc Fem Arty	423	263	$18,268.00	$16,441.20	$1,092.96	$18,085.32	$17,537.28	2026-03-31
C9765	HCPCS	Hc Revasc Intra Lithotrip-stent	421	262	$18,252.00	$16,426.80	$3,796.42	$18,069.48	$17,521.92	2026-03-31
27130	CPT	Hc Arthro Acetab&fem Prosth (tha)	422	262	$18,176.00	$16,358.40	$1,209.90	$17,994.24	$17,448.96	2026-03-31
J9347	HCPCS	Tremelimumab-actl 20 Mg/ml Intravenous Solution	834	262	$64,435.90	$57,992.31	$2,141.15	$117,392.02	$17,427.62	2026-03-31
22514	CPT	Hc Perc Vert Agmntj Cav Crtj Lmbr	423	263	$18,014.00	$16,212.60	$443.95	$17,833.86	$17,293.44	2026-03-31
22513	CPT	Hc Perc Vertebplsty Cavty Img Guid 1	423	263	$18,014.00	$16,212.60	$474.11	$17,833.86	$17,293.44	2026-03-31
33212	CPT	Hc Ins Pcmkr Pls Gen Exist 1 Lead	423	263	$17,791.00	$16,011.90	$300.89	$17,613.09	$17,079.36	2026-03-31
SUP-ZARTHABS110120	CDM	Graft Tissue Disc Frozen Regenerative Sterile 20mm	421	262	$17,510.00	$15,759.00	$3,642.08	$17,334.90	$16,809.60	2026-03-31
33207	CPT	Hc Ins/rplc Pcmkr Vent	423	263	$17,271.00	$15,543.90	$432.96	$17,098.29	$16,580.16	2026-03-31
C9764	HCPCS	Hc Revasc Intravasc Lithotripsy	421	262	$17,263.00	$15,536.70	$3,590.70	$17,090.37	$16,572.48	2026-03-31
J9271	HCPCS	Pembrolizumab 25 Mg/ml Intravenous Solution	419	263	$17,201.30	$15,481.17	$3,577.87	$17,029.29	$16,513.25	2026-03-31
J9039	HCPCS	Blinatumomab 35 Mcg Intravenous (wrapper)	419	263	$16,850.20	$15,165.18	$3,504.84	$16,681.70	$16,176.19	2026-03-31
J9302	HCPCS	Ofatumumab 20 Mg/ml Intravenous Solution (wrapper)	414	263	$16,922.00	$15,229.80	$3,519.78	$16,922.00	$16,075.90	2026-03-31
33418	CPT	Hc Txcath Mitral Valve Repair Ini	423	263	$16,727.00	$15,054.30	$1,606.85	$16,559.73	$16,057.92	2026-03-31
J9311	HCPCS	Rituximab 1,400 Mg/11.7 Ml (120 Mg/ml)-hyaluronidase Subcutaneous Soln	419	263	$16,565.60	$14,909.04	$3,445.64	$16,399.94	$15,902.98	2026-03-31
92928	CPT	Hc Plc Intracor Stnt Sngl	423	263	$16,290.00	$14,661.00	$469.43	$16,127.10	$15,638.40	2026-03-31
93459	CPT	Hc Cath Plc Arty/grft Ang W L Hrt	423	263	$16,266.00	$14,639.40	$1,175.91	$16,103.34	$15,615.36	2026-03-31
J9332	HCPCS	Efgartigimod Alfa-fcab 20 Mg/ml Intravenous Solution (restricted)	417	262	$16,210.50	$14,589.45	$3,371.78	$16,048.40	$15,562.08	2026-03-31
50592	CPT	Hc Ablation Renal Tumors Unilat Rf	423	263	$16,054.00	$14,448.60	$320.95	$15,893.46	$15,411.84	2026-03-31
93457	CPT	Hc Cath Plc Arty/grft Ang W R Hrt	423	263	$15,907.00	$14,316.30	$1,292.01	$15,747.93	$15,270.72	2026-03-31
36905	CPT	Hc Av Fistula Pta Thrombectomy	423	263	$15,842.00	$14,257.80	$406.97	$15,683.58	$15,208.32	2026-03-31
93461	CPT	Hc Cath Plc Art/grft Ang W R&l Hrt	423	263	$15,470.00	$13,923.00	$1,437.58	$15,315.30	$14,851.20	2026-03-31
93655	CPT	Hc Ablt Arrhythmia Add On	423	263	$15,469.00	$13,922.10	$264.33	$15,314.31	$14,850.24	2026-03-31
37263	CPT	Hc Revsc Evasc Fpvt Angio Sf 1	423	263	$15,430.00	$13,887.00	$359.08	$15,275.70	$14,812.80	2026-03-31
23472	CPT	Hc Arthro Glh Jt Total Shoulder	422	262	$15,414.00	$13,872.60	$1,358.50	$15,259.86	$14,797.44	2026-03-31
93596	CPT	Hc R&l Hrt Cath Chd Nml Nt Cnj	421	262	$15,395.00	$13,855.50	$3,202.16	$15,241.05	$14,779.20	2026-03-31
93657	CPT	Hc Ablt Atrium Add Linear Cath	423	263	$15,263.00	$13,736.70	$264.33	$15,110.37	$14,652.48	2026-03-31
27447	CPT	Hc Arthro Knee Condyle&plat (tka)	422	262	$15,192.00	$13,672.80	$1,207.71	$15,040.08	$14,584.32	2026-03-31
C9605	HCPCS	Hc Perc Translum Revasc Addl Vssl	421	262	$14,833.00	$13,349.70	$3,085.26	$14,684.67	$14,239.68	2026-03-31
61624	CPT	Hc Txcath Occl/embl Cns	423	263	$14,731.00	$13,257.90	$1,023.45	$14,583.69	$14,141.76	2026-03-31
33285	CPT	Hc Impl Pt Actv Card Event Record	423	263	$14,581.00	$13,122.90	$76.95	$14,435.19	$13,997.76	2026-03-31
36227	CPT	Hc Sel Cath Ext Cartd W Angio	423	263	$14,543.00	$13,088.70	$106.28	$14,397.57	$13,961.28	2026-03-31
37236	CPT	Hc Plc Opn/perc Stent Init	423	263	$14,498.00	$13,048.20	$394.37	$14,353.02	$13,918.08	2026-03-31
33990	CPT	Hc Ins Perc Vent Assist Dev Left Heart Arterial Only W Img	423	263	$14,430.00	$12,987.00	$317.22	$14,285.70	$13,852.80	2026-03-31
J9011	HCPCS	Datopotamab Deruxtecan-dlnk 100 Mg/5 Ml Intravenous Solution (wetted)	417	262	$14,341.70	$12,907.53	$2,983.07	$14,198.28	$13,768.03	2026-03-31
33227	CPT	Hc Rplc Perm Gen Sngl Lead	423	263	$14,291.00	$12,861.90	$310.71	$14,148.09	$13,719.36	2026-03-31
33216	CPT	Hc Ins Sngl Eltrd/ppcmkr/icd	423	263	$14,185.00	$12,766.50	$341.67	$14,043.15	$13,617.60	2026-03-31
27486	CPT	Hc Rev Tot Knee Arthro 1 Compnt	413	262	$14,298.00	$12,868.20	$1,155.81	$14,155.02	$13,583.10	2026-03-31
93458	CPT	Hc Cath Plc Arty/vent Ang W L Hrt	423	263	$14,048.00	$12,643.20	$1,093.36	$13,907.52	$13,486.08	2026-03-31
RX-166064	CDM	Uridine Triacetate 10 Gram Oral Granules In Packet	421	262	$13,921.40	$12,529.26	$2,895.65	$14,617.47	$13,364.54	2026-03-31
J0517	HCPCS	Benralizumab 30 Mg/ml Subcutaneous Syringe	419	263	$13,676.50	$12,308.85	$2,844.71	$13,539.74	$13,129.44	2026-03-31
93456	CPT	Hc Cath Plc Cor Arty/ang W Rt Hrt	423	263	$13,612.00	$12,250.80	$1,185.08	$13,475.88	$13,067.52	2026-03-31
C9601	HCPCS	Hc Perc Transcath Plct Drug Stnt Add	421	262	$13,611.00	$12,249.90	$2,831.09	$13,474.89	$13,066.56	2026-03-31
A9586	HCPCS	Florbetapir F-18 10 Mci (370 Mbq) Intravenous Solution	421	262	$13,597.50	$12,237.75	$2,828.28	$13,461.53	$13,053.60	2026-03-31
33992	CPT	Hc Rmvl Perc Vent Assist Dev Left Heart,art &/or Art&ven	423	263	$13,582.00	$12,223.80	$166.89	$13,446.18	$13,038.72	2026-03-31
47534	CPT	Hc Plc Biliary Drn Cath Intrnl-extrnl	423	263	$13,512.00	$12,160.80	$340.69	$13,376.88	$12,971.52	2026-03-31
36223	CPT	Hc Sel Cath Cartd Angio Intrcr	423	263	$13,117.00	$11,805.30	$293.86	$12,985.83	$12,592.32	2026-03-31
33210	CPT	Hc Ins/rplc Temp Elec/pcmkr Sngl	423	263	$13,073.00	$11,765.70	$143.49	$12,942.27	$12,550.08	2026-03-31
33244	CPT	Hc Rmvl Icd Elec Transven Extract	423	263	$13,004.00	$11,703.60	$786.73	$12,873.96	$12,483.84	2026-03-31
93460	CPT	Hc Cath Plc Art/ven Ang W R&l Hrt	423	263	$12,980.00	$11,682.00	$1,304.61	$12,850.20	$12,460.80	2026-03-31
37191	CPT	Hc Insert Evasc Vena Cava Filter	423	263	$12,886.00	$11,597.40	$201.53	$12,757.14	$12,370.56	2026-03-31
J7504	HCPCS	Lymphocyte,anti-thymo Immune Globulin 50 Mg/ml Intravenous Solution	419	263	$12,738.30	$11,464.47	$2,649.57	$12,610.92	$12,228.77	2026-03-31
47382	CPT	Hc Ablt >=1 Lvr Tmr Perc Radiofreq	423	263	$12,681.00	$11,412.90	$688.39	$12,554.19	$12,173.76	2026-03-31
33233	CPT	Hc Rmvl Pcmkr Pulse Gen Only	423	263	$12,665.00	$11,398.50	$221.00	$12,538.35	$12,158.40	2026-03-31
50695	CPT	Hc Plc Ureter Stnt New W Nephrost Cath	423	263	$12,492.00	$11,242.80	$316.05	$12,367.08	$11,992.32	2026-03-31
36222	CPT	Hc Sel Cath Cartd Angio Extracran	423	263	$12,482.00	$11,233.80	$253.79	$12,357.18	$11,982.72	2026-03-31
J9038	HCPCS	Axatilimab-csfr 50 Mg/ml Intravenous Solution	834	262	$20,965.20	$18,868.68	$2,569.13	$29,283.01	$11,981.05	2026-03-31
J7189	HCPCS	Coagulation Factor Viia Recomb 1 Mg (1,000 Mcg) Intravenous Solution	1,257	263	$12,475.00	$11,227.50	$1,341.60	$30,244.50	$11,976.00	2026-03-31
92937	CPT	Hc Perc Revasc Trans Cor Sngl Vesl	423	263	$12,411.00	$11,169.90	$530.10	$12,286.89	$11,914.56	2026-03-31
A9588	HCPCS	Fluciclovine F18 10 Mci (370 Mbq) Intravenous Solution	421	262	$12,387.60	$11,148.84	$2,576.62	$12,263.72	$11,892.10	2026-03-31
J0741	HCPCS	Cabotegravir ER 400 Mg/2 Ml-rilpivirine ER 600 Mg/2ml IM Suspension,er (restrict…	834	262	$15,203.65	$13,683.28	$2,547.56	$17,977.81	$11,880.46	2026-03-31
J9309	HCPCS	Polatuzumab Vedotin-piiq 140 Mg/7 Ml Intravenous Solution (wetted)	838	263	$33,803.35	$30,423.01	$2,542.13	$54,831.05	$11,855.15	2026-03-31
A9608	HCPCS	Flotufolastat F 18 296-5,846 Mbq/ml (8-158 Mci/ml) IV Solution	421	262	$12,295.60	$11,066.04	$2,557.48	$12,172.64	$11,803.78	2026-03-31
37248	CPT	Hc Pta Venous Initial	423	263	$12,195.00	$10,975.50	$272.87	$12,073.05	$11,707.20	2026-03-31
19318	CPT	Hc Breast Reduc	413	262	$12,274.00	$11,046.60	$896.81	$12,151.26	$11,660.30	2026-03-31
J9200	HCPCS	Floxuridine 0.5 Gram/5 Ml Solution For Injection (wetted)	419	263	$12,145.60	$10,931.04	$2,526.28	$12,024.14	$11,659.78	2026-03-31
A9582	HCPCS	Iobenguane Sulfate I-123 10 Mci/5 Ml (370 Mbq/5 Ml) Intravenous Soln	421	262	$12,059.00	$10,853.10	$2,508.27	$11,938.41	$11,576.64	2026-03-31
77373	CPT	Hc Stereotactic Body Radtn Del	423	263	$12,049.00	$10,844.10	$1,071.94	$11,928.51	$11,567.04	2026-03-31
0913T	CPT	Hc Prq Tcat Ther Rx Ntrac Balo1	421	262	$11,995.00	$10,795.50	$2,494.96	$11,875.05	$11,515.20	2026-03-31
J9312	HCPCS	Rituximab 10 Mg/ml Concentrate,intravenous	419	263	$11,961.30	$10,765.17	$2,487.95	$11,841.69	$11,482.85	2026-03-31
29888	CPT	Hc Arthsc Aid Acl Rpr	413	262	$11,969.00	$10,772.10	$812.18	$11,849.31	$11,370.55	2026-03-31
J2356	HCPCS	Tezepelumab-ekko 210 Mg/1.91 Ml (110 Mg/ml) Subcutaneous Syringe	417	262	$11,836.50	$10,652.85	$2,461.99	$11,718.14	$11,363.04	2026-03-31
J1162	HCPCS	Digoxin Immune Fab 40 Mg Intravenous Solution	411	263	$11,949.80	$10,754.82	$2,485.56	$11,830.30	$11,352.31	2026-03-31
33234	CPT	Hc Rmvl Pcmkr Elec 1 Lead Sys	423	263	$11,804.00	$10,623.60	$440.96	$11,685.96	$11,331.84	2026-03-31
33235	CPT	Hc Rmvl Pcmkr Elec Dual Lead Sys	423	263	$11,804.00	$10,623.60	$584.20	$11,685.96	$11,331.84	2026-03-31
A9572	HCPCS	Indium 111-pentetreotide 3 Mci/ml-10 Mcg Intravenous Kit	412	262	$11,901.00	$10,710.90	$2,475.41	$11,781.99	$11,305.95	2026-03-31
A9548	HCPCS	Pentetate Indium Disodium In-111 1.5 Mci/1.5 Ml Intrathecal Solution	423	263	$11,758.00	$10,582.20	$2,445.66	$11,640.42	$11,287.68	2026-03-31
J2506	HCPCS	Pegfilgrastim 6 Mg/0.6 Ml Subcutaneous Syringe	417	262	$11,722.90	$10,550.61	$1,842.56	$11,605.67	$11,253.98	2026-03-31
37212	CPT	Hc Transcath Ven Thpy W S&i Init	423	263	$11,720.00	$10,548.00	$305.06	$11,602.80	$11,251.20	2026-03-31
37211	CPT	Hc Transcath Artl Thpy W S&i Init	423	263	$11,720.00	$10,548.00	$347.51	$11,602.80	$11,251.20	2026-03-31
47533	CPT	Hc Plc Biliary Drn Cath Extrnl	423	263	$11,706.00	$10,535.40	$244.10	$11,588.94	$11,237.76	2026-03-31
50593	CPT	Hc Ablation Renal Tumor Perc Cryo	423	263	$11,540.00	$10,386.00	$429.62	$11,424.60	$11,078.40	2026-03-31
A9595	HCPCS	Piflufolastat F 18 37 Mbq/ml To 2,960 Mbq/ml (1-80 Mci/ml) IV Solution	421	262	$11,500.00	$10,350.00	$2,392.00	$11,385.00	$11,040.00	2026-03-31
20982	CPT	Hc Ablation Bn Tmr Radiofrequency	423	263	$11,497.00	$10,347.30	$338.43	$11,382.03	$11,037.12	2026-03-31
J9352	HCPCS	Trabectedin 1 Mg/20 Ml Intravenous Solution (wetted)	419	263	$11,442.50	$10,298.25	$2,380.04	$11,328.08	$10,984.80	2026-03-31
37246	CPT	Hc Pta Arterial Initial	423	263	$11,395.00	$10,255.50	$317.20	$11,281.05	$10,939.20	2026-03-31
37283	CPT	Hc Rvsc Evsc Tpvt Angio Cplx Ea	423	263	$11,289.00	$10,160.10	$194.37	$11,176.11	$10,837.44	2026-03-31
27446	CPT	Hc Arthro Knee Med/lat Cmprt (unilat)	413	262	$11,391.00	$10,251.90	$950.25	$11,277.09	$10,821.45	2026-03-31
33215	CPT	Hc Reposition Pcmkr/lead Ra/rv	423	263	$11,187.00	$10,068.30	$282.50	$11,075.13	$10,739.52	2026-03-31
J9061	HCPCS	Amivantamab-vmjw 50 Mg/ml Intravenous Solution	417	262	$11,050.10	$9,945.09	$2,298.42	$10,939.60	$10,608.10	2026-03-31
25405	CPT	Hc Rpr Non/malunion Rad/uln W Autgrft	422	262	$11,041.00	$9,936.90	$986.70	$10,930.59	$10,599.36	2026-03-31
93650	CPT	Hc Ablt Av Node	423	263	$10,956.00	$9,860.40	$504.98	$10,846.44	$10,517.76	2026-03-31
J0739	HCPCS	Cabotegravir ER 600 Mg/3 Ml (200 Mg/ml) IM Suspension,extended Release	417	262	$10,939.40	$9,845.46	$2,275.40	$10,830.01	$10,501.82	2026-03-31
37183	CPT	Hc Revise Hepatic Shunt (tips)	423	263	$10,811.00	$9,729.90	$345.69	$10,702.89	$10,378.56	2026-03-31
Q5117	HCPCS	Trastuzumab-anns 420 Mg Intravenous Solution	423	263	$10,713.10	$9,641.79	$2,228.32	$10,605.97	$10,284.58	2026-03-31
37249	CPT	Hc Pta Venous Ea Add	423	263	$10,655.00	$9,589.50	$132.50	$10,548.45	$10,228.80	2026-03-31
93455	CPT	Hc Cath Plc Cor Arty/grft Angio	423	263	$10,631.00	$9,567.90	$1,060.27	$10,524.69	$10,205.76	2026-03-31
93602	CPT	Hc Recording Intra-atrial Elec	423	263	$10,593.00	$9,533.70	$168.65	$10,487.07	$10,169.28	2026-03-31
92986	CPT	Hc Perc Balloon Valvulo Aortic	423	263	$10,570.00	$9,513.00	$1,193.30	$10,464.30	$10,147.20	2026-03-31
RX-707829	CDM	Denileukin Diftitox-cxdl 150 Mcg/ml Intravenous Solution (wetted)	421	262	$10,558.20	$9,502.38	$2,196.11	$10,452.62	$10,135.87	2026-03-31
J9276	HCPCS	Zanidatamab-hrii 300 Mg/6 Ml Intravenous Solution (wetted)	409	262	$10,641.70	$9,577.53	$2,213.47	$10,535.28	$10,109.62	2026-03-31
A9606	HCPCS	Radium Ra 223 Dichlor 1,100 Kbq/ml (30 Microcurie/ml) Intravenous Soln	423	263	$10,470.00	$9,423.00	$2,177.76	$10,365.30	$10,051.20	2026-03-31
36251	CPT	Hc Sel Cath Renal Arty&angio Unilat	423	263	$10,438.00	$9,394.20	$231.58	$10,333.62	$10,020.48	2026-03-31
32994	CPT	Hc Ablate Pulm Tumor Perq Crybl	423	263	$10,405.00	$9,364.50	$408.72	$10,300.95	$9,988.80	2026-03-31
27870	CPT	Hc Arthrodesis Ankle Opn	422	262	$10,392.00	$9,352.80	$979.32	$10,288.08	$9,976.32	2026-03-31
66180	CPT	Hc Shnt Aqus Extraocl Rsrvr W Grft	422	262	$10,368.00	$9,331.20	$1,063.74	$10,264.32	$9,953.28	2026-03-31
93600	CPT	Hc Recording His Bundle	423	263	$10,347.00	$9,312.30	$209.54	$10,243.53	$9,933.12	2026-03-31
26123	CPT	Hc Fasctmy Palm Prtl W Sngl Dig	422	262	$10,343.00	$9,308.70	$827.38	$10,239.57	$9,929.28	2026-03-31
27822	CPT	Hc Opn Tx Trimalor Ank Fx Wo Fix	422	262	$10,320.00	$9,288.00	$874.58	$10,216.80	$9,907.20	2026-03-31
J2353	HCPCS	Octreotide,microspheres ER 10 Mg Intramuscular Susp, Extended Release	1,257	263	$10,265.30	$9,238.77	$1,650.63	$15,008.50	$9,854.69	2026-03-31
27726	CPT	Hc Rpr Non/malunion Fib W Fix	413	262	$10,362.00	$9,325.80	$798.04	$10,258.38	$9,843.90	2026-03-31
93620	CPT	Hc Ep Eval W Arrhythmia	423	263	$10,216.00	$9,194.40	$1,023.22	$10,113.84	$9,807.36	2026-03-31
66183	CPT	Hc Ins Antr Drn Wo Extrclr Rsrvr	422	262	$10,208.00	$9,187.20	$965.89	$10,105.92	$9,799.68	2026-03-31
37254	CPT	Hc Revsc Evasc Ivt Angio Sf 1st	423	263	$10,153.00	$9,137.70	$338.91	$10,051.47	$9,746.88	2026-03-31
24342	CPT	Hc Reins Tndn Bicep/tricep Distal	413	262	$10,255.00	$9,229.50	$655.09	$10,152.45	$9,742.25	2026-03-31
37184	CPT	Hc Thrmbct Mech Prim Perc Init Vsl	423	263	$10,144.00	$9,129.60	$390.24	$10,042.56	$9,738.24	2026-03-31
27245	CPT	Hc Tx Fem Fx W Intramedullry Impl	413	262	$10,242.00	$9,217.80	$1,015.62	$10,139.58	$9,729.90	2026-03-31
37193	CPT	Hc Rtrev/rmvl Evasc Venacava Fltr	423	263	$10,135.00	$9,121.50	$317.10	$10,033.65	$9,729.60	2026-03-31
36902	CPT	Hc Av Fistula Pta	423	263	$10,081.00	$9,072.90	$221.08	$9,980.19	$9,677.76	2026-03-31
66989	CPT	Hc Xcpsl Ctrc Rmvl Cplx Insj 1+	422	262	$10,058.00	$9,052.20	$788.00	$9,957.42	$9,655.68	2026-03-31
93453	CPT	Hc Rt&lt Hrt Cath W Ventriclgrphy	423	263	$10,027.00	$9,024.30	$1,208.52	$9,926.73	$9,625.92	2026-03-31
A9800	HCPCS	Kit For Preparation Of Ga-68-gozetotide 25 Mcg Intravenous Solution	421	262	$10,000.00	$9,000.00	$2,080.00	$9,900.00	$9,600.00	2026-03-31
92920	CPT	Hc Ptca Sngl Mjr Arty/brnch	423	263	$9,982.00	$8,983.80	$391.93	$9,882.18	$9,582.72	2026-03-31
58563	CPT	Hc Hysteroscopy Endometrial Ablt	422	262	$9,947.00	$8,952.30	$226.75	$9,847.53	$9,549.12	2026-03-31
93462	CPT	Hc Lt Hrt Cath Txsptl Punc	423	263	$9,916.00	$8,924.40	$179.42	$9,816.84	$9,519.36	2026-03-31
J0597	HCPCS	C1 Esterase Inhibitor 500 Unit/10 Ml Intravenous Solution (wrapper)	419	263	$9,875.00	$8,887.50	$2,054.00	$9,776.25	$9,480.00	2026-03-31
J0565	HCPCS	Bezlotoxumab 25 Mg/ml Intravenous Solution	419	263	$9,872.60	$8,885.34	$2,053.50	$9,773.87	$9,477.70	2026-03-31
95716	CPT	Hc Veeg By Tech Ea Incr 12-26 Hr Cont R-t Mntr	423	263	$9,841.00	$8,856.90	$1,178.52	$9,742.59	$9,447.36	2026-03-31
93619	CPT	Hc Ep Eval Wo Arrhythmia	423	263	$9,837.00	$8,853.30	$751.42	$9,738.63	$9,443.52	2026-03-31
29807	CPT	Hc Arthsc Shldr Rpr Slap Lesn	413	262	$9,844.00	$8,859.60	$868.39	$9,745.56	$9,351.80	2026-03-31
36252	CPT	Hc Sel Cath Renal Arty&angio Bil	423	263	$9,739.00	$8,765.10	$314.77	$9,641.61	$9,349.44	2026-03-31
37238	CPT	Hc Plc Opn/perc Stent Same Init	423	263	$9,650.00	$8,685.00	$276.98	$9,553.50	$9,264.00	2026-03-31
RX-190640	CDM	Aminolevulinic Acid Hcl 30 Mg/ml Oral Solution	421	262	$9,648.00	$8,683.20	$2,006.78	$10,130.40	$9,262.08	2026-03-31
28415	CPT	Hc Opn Tx Calcaneal Fx	422	262	$9,598.00	$8,638.20	$1,113.26	$9,502.02	$9,214.08	2026-03-31
93610	CPT	Hc Pacing Intra Atrial	423	263	$9,558.00	$8,602.20	$227.00	$9,462.42	$9,175.68	2026-03-31
26356	CPT	Hc Rpr Flex Tndn Zn 2 Prim Wo Grft	422	262	$9,552.00	$8,596.80	$800.50	$9,456.48	$9,169.92	2026-03-31
67400	CPT	Hc Orbitotomy Exploration	413	262	$9,615.00	$8,653.50	$868.90	$9,518.85	$9,134.25	2026-03-31
J9358	HCPCS	Fam-trastuzumab Deruxtecan-nxki 100 Mg/5 Ml Intravenous Solution (wetted)	419	263	$9,474.40	$8,526.96	$1,970.68	$9,379.66	$9,095.42	2026-03-31
29806	CPT	Hc Arthsc Shldr Capsulorrhaphy	413	262	$9,501.00	$8,550.90	$887.24	$9,405.99	$9,025.95	2026-03-31
65755	CPT	Hc Keratoplasty Penetrate Pseudo	422	262	$9,334.00	$8,400.60	$1,166.81	$9,240.66	$8,960.64	2026-03-31
50694	CPT	Hc Plc Ureter Stnt New Wo Nephrost Cath	423	263	$9,292.00	$8,362.80	$246.96	$9,199.08	$8,920.32	2026-03-31
67904	CPT	Hc Rpr Blepharopt Levat Rsect Ext	422	262	$9,232.00	$8,308.80	$556.00	$9,139.68	$8,862.72	2026-03-31
93612	CPT	Hc Pacing Intra Ventricular	423	263	$9,194.00	$8,274.60	$239.41	$9,102.06	$8,826.24	2026-03-31
36225	CPT	Hc Sel Cath Subcl Arty Angio Vert	423	263	$9,155.00	$8,239.50	$291.04	$9,063.45	$8,788.80	2026-03-31
J1306	HCPCS	Inclisiran 284 Mg/1.5 Ml Subcutaneous Syringe	417	262	$9,098.80	$8,188.92	$1,892.55	$9,007.81	$8,734.85	2026-03-31
43276	CPT	Hc Ercp Stent Exchange W Dil	423	263	$9,096.00	$8,186.40	$451.25	$9,005.04	$8,732.16	2026-03-31
28725	CPT	Hc Arthrodesis Subtalar	413	262	$9,187.00	$8,268.30	$673.70	$9,095.13	$8,727.65	2026-03-31
58571	CPT	Hc Lap Tot Hyst Utrs<=250g W Tb/ov	413	262	$9,177.00	$8,259.30	$749.92	$9,085.23	$8,718.15	2026-03-31
49616	CPT	Hc Rpr Aa Hrn Rcr 3-10 Ncr/strn	422	262	$9,026.00	$8,123.40	$788.74	$8,935.74	$8,664.96	2026-03-31
SUP-00810063820046	CDM	Tapestry Biointegrative Implant 30mmx30mm	421	262	$9,000.00	$8,100.00	$1,872.00	$8,910.00	$8,640.00	2026-03-31
37187	CPT	Hc Thrmbct Mech Trluml Vein	423	263	$8,982.00	$8,083.80	$360.40	$8,892.18	$8,622.72	2026-03-31
J9205	HCPCS	Irinotecan Liposomal 4.3 Mg/ml Intravenous	419	263	$8,951.40	$8,056.26	$1,861.89	$8,861.89	$8,593.34	2026-03-31
36253	CPT	Hc Cath 2nd+ord Renal Artery Unilat	423	263	$8,947.00	$8,052.30	$325.48	$8,857.53	$8,589.12	2026-03-31
58150	CPT	Hc Hysterectomy Total Abd	413	262	$9,028.00	$8,125.20	$843.67	$9,183.82	$8,576.60	2026-03-31
47383	CPT	Hc Ablt Perc Liver Tmr Cryoablat	423	263	$8,930.00	$8,037.00	$430.16	$8,840.70	$8,572.80	2026-03-31
43274	CPT	Hc Ercp Duct Stent Plc W Dil	423	263	$8,866.00	$7,979.40	$433.41	$8,777.34	$8,511.36	2026-03-31
25609	CPT	Hc Opn Tx Dist Rdl Inart Fx 3 Fix	422	262	$8,780.00	$7,902.00	$1,020.73	$8,692.20	$8,428.80	2026-03-31
27610	CPT	Hc Arthrt Ankle Explr/drn/rmvl Fb	413	262	$8,793.00	$7,913.70	$560.84	$8,705.07	$8,353.35	2026-03-31
36478	CPT	Hc Endovenous Ablt Laser 1st Vein	843	263	$10,003.00	$9,002.70	$253.06	$9,902.97	$8,315.81	2026-03-31
J2182	HCPCS	Mepolizumab 100 Mg Subcutaneous Solution	419	263	$8,648.00	$7,783.20	$1,798.78	$8,561.52	$8,302.08	2026-03-31
27422	CPT	Hc Rcnst Disloc Patel Extn Realign	413	262	$8,686.00	$7,817.40	$638.20	$8,599.14	$8,251.70	2026-03-31
27814	CPT	Hc Opn Tx Bimalor Ank Fx	413	262	$8,675.00	$7,807.50	$654.67	$8,588.25	$8,241.25	2026-03-31
J1950	HCPCS	Leuprolide 3.75 Mg Intramuscular Syringe Kit	1,237	263	$8,575.30	$7,717.77	$653.49	$28,843.95	$8,232.29	2026-03-31
37200	CPT	Hc Transcatheter Biopsy	423	263	$8,560.00	$7,704.00	$199.04	$8,474.40	$8,217.60	2026-03-31
43266	CPT	Hc Egd W Stent Plc	423	263	$8,550.00	$7,695.00	$206.14	$8,464.50	$8,208.00	2026-03-31
29882	CPT	Hc Arthsc Kne W Mnsc Rpr Med/lat	422	262	$8,535.00	$7,681.50	$675.91	$8,449.65	$8,193.60	2026-03-31
J9326	HCPCS	Telisotuzumab Vedotin-tllv 20 Mg/ml Intravenous Solution (wrapper)	818	262	$23,807.30	$21,426.57	$1,713.05	$38,985.01	$8,172.11	2026-03-31
A9592	HCPCS	Copper Cu-64 Dotatate 148 Mbq/4 Ml (4 Mci/4 Ml) Intravenous Solution	421	262	$8,500.00	$7,650.00	$1,768.00	$8,415.00	$8,160.00	2026-03-31
35206	CPT	Hc Rpr Blood Vssl Dir Upr Extrm	422	262	$8,492.00	$7,642.80	$741.39	$8,407.08	$8,152.32	2026-03-31
22515	CPT	Hc Perc Vert Agmnt Mech Ea Add	423	263	$8,484.00	$7,635.60	$194.84	$8,399.16	$8,144.64	2026-03-31
58262	CPT	Hc Hyst Vag <=250g Rmvl Tubes/ov	413	262	$8,550.00	$7,695.00	$747.89	$8,464.50	$8,122.50	2026-03-31
29898	CPT	Hc Arthsc Ankle Drbd Exten	413	262	$8,540.00	$7,686.00	$485.99	$8,454.60	$8,113.00	2026-03-31
29891	CPT	Hc Arthsc Ankle Excisn Defect	413	262	$8,540.00	$7,686.00	$586.47	$8,454.60	$8,113.00	2026-03-31
29827	CPT	Hc Arthsc Shldr W Rotator Cuff Rpr	422	262	$8,443.00	$7,598.70	$1,023.97	$8,358.57	$8,105.28	2026-03-31
PX-360000008	CDM	Hc Or Level 12	529	262	$8,413.00	$7,571.70	$1,749.90	$8,328.87	$8,076.48	2026-03-31
43265	CPT	Hc Ercp W Destruct Calculi	423	263	$8,403.00	$7,562.70	$405.82	$8,318.97	$8,066.88	2026-03-31
43240	CPT	Hc Egd W Transmural Drn	423	263	$8,403.00	$7,562.70	$368.33	$8,318.97	$8,066.88	2026-03-31
J9177	HCPCS	Enfortumab Vedotin-ejfv 20 Mg/2 Ml Intravenous Solution (wetted)	838	263	$10,227.50	$9,204.75	$1,720.58	$12,061.17	$8,023.84	2026-03-31
Q5111	HCPCS	Pegfilgrastim-cbqv 6 Mg/0.6 Ml Subcutaneous Syringe	844	263	$8,261.00	$7,434.90	$1,718.29	$10,697.15	$8,013.17	2026-03-31
29879	CPT	Hc Arthsc Knee Abrasion Arthro	413	262	$8,433.00	$7,589.70	$569.87	$8,348.67	$8,011.35	2026-03-31
66991	CPT	Hc Xcapsl Ctrc Rmvl Insj 1+	422	262	$8,314.00	$7,482.60	$638.68	$8,230.86	$7,981.44	2026-03-31
29828	CPT	Hc Arthsc Shldr Biceps Tenodesis	422	262	$8,295.00	$7,465.50	$885.80	$8,212.05	$7,963.20	2026-03-31
63650	CPT	Hc Impl Neurostim Elec Perc Epi	843	263	$8,190.00	$7,371.00	$405.12	$9,196.11	$7,944.30	2026-03-31
J9286	HCPCS	Glofitamab-gxbm 1 Mg/ml Intravenous Solution	834	262	$19,601.00	$17,640.90	$1,686.96	$30,780.68	$7,867.09	2026-03-31
49595	CPT	Hc Rpr Aa Hrn 1st > 10 Rdc	422	262	$8,193.00	$7,373.70	$711.36	$8,111.07	$7,865.28	2026-03-31
59510	CPT	Hc Routine C/s Ante/postprtum Pkg	422	262	$8,191.00	$7,371.90	$1,703.73	$8,109.09	$7,863.36	2026-03-31
66982	CPT	Hc Rmvl Cataract Extracap Cmplx	422	262	$8,179.00	$7,361.10	$691.14	$8,097.21	$7,851.84	2026-03-31
38745	CPT	Hc Axillary Lymphadenectomy Compl	422	262	$8,095.00	$7,285.50	$862.13	$8,014.05	$7,771.20	2026-03-31
37237	CPT	Hc Plc Opn/perc Stent Ea Add	423	263	$8,088.00	$7,279.20	$188.52	$8,007.12	$7,764.48	2026-03-31
27438	CPT	Hc Arthro Patella W Prosthesis	422	262	$8,054.00	$7,248.60	$819.47	$7,973.46	$7,731.84	2026-03-31
25448	CPT	Hc Arthrp Intercarp/carp/mtcrpl Jt Susp	422	262	$8,034.00	$7,230.60	$866.35	$7,953.66	$7,712.64	2026-03-31
36904	CPT	Hc Av Fistula Thrombectomy	423	263	$8,033.00	$7,229.70	$336.84	$7,952.67	$7,711.68	2026-03-31
19307	CPT	Hc Mastect Radical Modified	422	262	$8,027.00	$7,224.30	$1,156.38	$7,946.73	$7,705.92	2026-03-31
29876	CPT	Hc Arthsc Knee Synovectomy Mjr	422	262	$8,022.00	$7,219.80	$647.21	$7,941.78	$7,701.12	2026-03-31
26370	CPT	Hc Rpr Rofundus Tndn Prim Ea	422	262	$8,003.00	$7,202.70	$802.65	$7,922.97	$7,682.88	2026-03-31
49594	CPT	Hc Rpr Aa Hrn 1st 3-10 Ncr/strn	422	262	$7,966.00	$7,169.40	$686.80	$7,886.34	$7,647.36	2026-03-31
J0870	HCPCS	Imetelstat 188 Mg/6 Ml Intravenous Solution (wetted)	834	262	$18,974.25	$17,076.82	$1,634.82	$29,787.91	$7,623.91	2026-03-31
37281	CPT	Hc Revsc Evsc Tpvt Angio Sf Ea	423	263	$7,926.00	$7,133.40	$136.65	$7,846.74	$7,608.96	2026-03-31
66600	CPT	Hc Iridectomy W Corneal Section	413	262	$8,006.00	$7,205.40	$754.73	$7,925.94	$7,605.70	2026-03-31
36908	CPT	Hc Av Fistula Stent Central	423	263	$7,898.00	$7,108.20	$189.64	$7,819.02	$7,582.08	2026-03-31
14301	CPT	Hc Tiss Xfer Adj 30.1-60scm	422	262	$7,865.00	$7,078.50	$815.30	$7,786.35	$7,550.40	2026-03-31
44960	CPT	Hc Appendectomy Ruptr W Abscess	422	262	$7,841.00	$7,056.90	$839.83	$7,762.59	$7,527.36	2026-03-31
66986	CPT	Hc Exchange Intraocular Lens	413	262	$7,900.00	$7,110.00	$728.25	$7,821.00	$7,505.00	2026-03-31
27310	CPT	Hc Arthrt Knee Explr/drn/rmvl Fb	413	262	$7,877.00	$7,089.30	$629.29	$7,798.23	$7,483.15	2026-03-31
66174	CPT	Hc Trnslmn Dil Aqus Wo Dev/stent	422	262	$7,781.00	$7,002.90	$592.89	$7,703.19	$7,469.76	2026-03-31
25447	CPT	Hc Arthro Intercarp/cmc Jt	422	262	$7,777.00	$6,999.30	$787.07	$7,699.23	$7,465.92	2026-03-31
29892	CPT	Hc Arthsc Repair Ankle	422	262	$7,767.00	$6,990.30	$643.00	$7,689.33	$7,456.32	2026-03-31

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